Claims Adjuster
2 months ago
- Description: PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience Four (4) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skill Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
- Requirements: Below details should reflect in the resume:
Need to possess GA license.
Min 3 years of experience required.
Litigation claims experience mandatory.
Remote.
GA and Southeast experience preferred.
-
Field Claims Adjuster
4 weeks ago
Memphis, United States EAC Claims Solutions LLC Full timeAt EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at www.eacclaims.com. Overview: Join EAC Claims Solutions as a Property Field...
-
Claims Resolution Adjuster
6 days ago
Memphis, Tennessee, United States EAC Claims Solutions LLC Full timeAbout EAC Claims Solutions LLC: At EAC Claims Solutions, we are committed to handling claims with honesty and efficiency. Our mission is to provide outstanding service while maintaining the highest levels of professionalism and compliance. Discover more about our dedication to innovation and community engagement. Position Overview: We invite you to consider...
-
Automotive Mechanical Claims Adjuster
3 months ago
Memphis, United States American Auto Shield Full time** Automotive Mechanical Claims Adjuster** **Job Category****:** Claims **Requisition Number****:** AUTOM001950 Showing 1 location **Job Details** **Description** **Were looking for remote Automotive Mechanical Claim Adjusters that are passionate about helping others and want to be part of an incredible, growing organization.** **If you:** * Searching for...
-
Insurance Field Adjuster
6 days ago
Memphis, Tennessee, United States EAC Claims Solutions LLC Full timeAbout EAC Claims Solutions LLC: We are committed to resolving claims with integrity and efficiency. Our mission is to provide exceptional service while maintaining the highest standards of professionalism and compliance. Position Overview: As a Property Field Adjuster, you will be responsible for managing insurance claims from start to finish. Key...
-
Claims Adjuster
19 hours ago
Memphis, Tennessee, United States AutoZone Full timeJob SummaryWe are seeking a highly skilled Claims Adjuster - Liability Specialist to join our team at AutoZone. As a Claims Adjuster - Liability Specialist, you will be responsible for investigating, evaluating, and settling general liability and product liability claims.Key Responsibilities:Investigate and evaluate claims to determine liability and extent...
-
General Liability Claims Adjuster
4 weeks ago
Memphis, United States AutoZone Full timeGeneral Liability Claims Adjuster Location: Memphis TN (hybrid) The General Liability Claims Adjuster is responsible for investigation, loss evaluation, negotiation and settlement of general liability and product liability claims which involve bodily injuries. The Adjuster will determine the scope of investigations, conduct interviews of claimants and...
-
Claims Resolution Specialist
4 days ago
Memphis, Tennessee, United States EAC Claims Solutions LLC Full timeAbout the RoleEAC Claims Solutions LLC is seeking a highly skilled Property Field Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for managing insurance claims from inception to resolution.Key ResponsibilitiesPlan and organize daily workload to process claims and conduct thorough property damage...
-
Field Property Claims Adjuster
4 months ago
Memphis, United States Liberty Mutual Group Full timeAre you looking to use your customer service skills in a role where you can see that you are making a difference in people's lives? Do you want a purposeful l career with endless opportunities for growth? As a member of the Field Property Claims Team Claims, Adjuster, Field, Property, Customer Experience, Skills, Insurance
-
Property Claims Specialist
6 days ago
Memphis, Tennessee, United States EAC Claims Solutions LLC Full timeAbout EAC Claims Solutions LLC: At EAC Claims Solutions, we are committed to addressing claims with transparency and effectiveness. We pride ourselves on providing outstanding service while maintaining the utmost standards of professionalism and regulatory compliance. Position Overview: We are seeking a dedicated Property Field Adjuster to oversee insurance...
-
Claims Adjuster for Personal Injury
2 weeks ago
Memphis, Tennessee, United States Morgan & Morgan Full timeJoin the Team at Morgan & Morgan, P.A.Morgan & Morgan, P.A. is actively looking for skilled Bodily Injury Claims Adjusters to enhance our dedicated team. As a vital part of our firm focused on defending consumer rights, you will significantly contribute to our mission against large insurance firms and corporations. Position Summary:Oversee a portfolio of...
-
Client Claims Adjusters/Negotiators
4 weeks ago
Memphis, United States Reaves Law Firm Full timeJob DescriptionJob DescriptionOver the years, our Mid-South personal injury lawyers have become a pillar of justice for countless people who have been injured or wronged. Our clients are the David to the Goliath of big insurance companies, and they feel like their voice isn’t heard. That’s why our firm’s motto is “Let Us Be Your Voice.”We are...
-
Insurance Claims Investigator
4 days ago
Memphis, Tennessee, United States AutoZone Full timeJob SummaryWe are seeking a highly skilled Claims Adjuster - Liability Specialist to join our team at AutoZone. As a Claims Adjuster - Liability Specialist, you will be responsible for investigating, evaluating, and settling general liability and product liability claims.Key Responsibilities:Investigate and evaluate claims to determine liability and extent...
-
General Liability Claims Professional
4 days ago
Memphis, Tennessee, United States AutoZone Full timeJob SummaryWe are seeking a highly skilled Claims Adjuster - Liability Specialist to join our team at AutoZone. As a Claims Adjuster - Liability Specialist, you will be responsible for investigating, evaluating, and settling general liability and product liability claims.Key Responsibilities:Investigate and evaluate claims to determine liability and extent...
-
Seeking Bodily Injury Claims Adjusters
3 months ago
Memphis, United States Morgan & Morgan Full time**Seeking Bodily Injury Claims Adjusters** at Morgan & Morgan, P.A. Memphis, Tennessee, United States At Morgan & Morgan, the work we do matters. For millions of Americans, were their last line of defense against insurance companies, large corporations or defective goods. From attorneys to client support staff, creative marketing to operations teams, every...
-
Liability Claims Coordinator
1 month ago
Memphis, United States AutoZone Full timeLiability Claims Coordinator Location: Memphis TN (hybrid) We are seeking a skilled and detail-oriented Liability Claims Coordinator . The Claims Coordinator is responsible for assisting the General Liability and Auto Liability teams. The liability claims coordinator will assist the claim adjusters with their investigations, obtain and review police...
-
Claims Examiner
1 month ago
Memphis, United States Mindlance Full timeDescription: PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...
-
Claims Examiner
1 month ago
Memphis, United States TAJ Technologies Inc Full timePRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of...
-
Claim Review Specialist
3 weeks ago
Memphis, United States Intellivo Full timeJob DescriptionJob DescriptionSalary: $40k +Claim Review SpecialistWho is Intellivo? Powered by IntellivoIQ technology, we provide solutions to health providers, billers, health plans, and payers by locating previously undetected auto and workers’ compensation payment sources to increase revenue for our healthcare clients. Imagine a place where...
-
Bodily Injury Claims Specialist
2 weeks ago
Memphis, Tennessee, United States Morgan & Morgan Full timeJoin the Team at Morgan & Morgan, P.A.Morgan & Morgan, P.A. is actively looking for skilled Bodily Injury Claims Adjusters to become part of our dedicated team. Our firm is committed to safeguarding consumer rights, and you will be instrumental in advocating for clients against insurance companies and large corporations. Position Summary:Oversee a portfolio...
-
Personal Injury Claims Analyst
2 weeks ago
Memphis, Tennessee, United States Morgan & Morgan Full timeJoin the Team at Morgan & Morgan, P.A.Morgan & Morgan, P.A. is actively looking for dedicated Bodily Injury Claims Adjusters to enhance our team. Our firm is committed to safeguarding consumer rights, and you will be instrumental in advocating for clients against insurance entities and large corporations. Position Summary:Oversee a portfolio of bodily injury...
